CA Statement of Information Intake Form

Rosenthal Community Care Services

CA - Statement of Information Filing Intake

Please complete this form so Rosenthal Community Care Services can prepare your California Statement of Information filing.

Rosenthal Community Care Services will review your information, research your California Secretary of State business record, and contact you if any additional information is needed before submission.

Estimated completion time 4–6 minutes

Service style Concierge filing support

Next step Rosenthal Community Care Services reviews and prepares the filing

Section 1

Client Contact Information

This tells us who submitted the request and how to contact you.

Full Name * Email Address * Phone Number * Shopify Order Number

Section 2

Filing Information

This helps Rosenthal Community Care Services understand the type of filing being requested.

Which filing do you believe you need? * Have there been any changes since your last Statement of Information filing? *

Please briefly describe the changes.

Section 3

Business Information

Please provide the business details needed to identify the correct entity.

Legal Business Name * Entity Type * California Secretary of State Entity Number, if known

Business Phone Number Business Email Address

Brief Description of Business Activity *

Section 4

Principal Business Address

This is the main business address for the entity.

Street Address * City * State * ZIP Code *

Section 5

Mailing Address

Tell us if mail should go somewhere different from the principal business address.

Is the mailing address the same as the principal business address? *

Mailing Street Address City State ZIP Code

Section 6

Registered Agent

Rosenthal Community Care Services is not helping clients find a registered agent through this intake.

Does your business currently have a Registered Agent? *

Registered Agent Name Registered Agent Street Address City State ZIP Code

Section 7

LLC Management Information

Complete this section if the entity is a limited liability company.

How is the LLC managed?

Manager or Member 1

Full Name Title Address

Manager or Member 2

Full Name Title Address

Manager or Member 3

Full Name Title Address

Section 8

Corporation Officer Information

Complete this section if the entity is a corporation or nonprofit corporation.

CEO / President Name CEO / President Address Secretary Name Secretary Address CFO / Treasurer Name CFO / Treasurer Address

Directors

Director 1 Name Director 1 Address Director 2 Name Director 2 Address

Section 9

Authorization

Please review and authorize Rosenthal Community Care Services to prepare the filing based on the information provided.

I certify that the information provided is true and accurate to the best of my knowledge. I authorize Rosenthal Community Care Services to prepare my California Statement of Information filing using the information provided in this intake form.

Typed Full Name * Date *

Thank You!

Your filing intake has been successfully submitted.

Rosenthal Community Care Services will now review your information and contact you if anything else is needed.

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Estimated total

CA Statement of Information Intake Form

CA - Statement of Information Filing Intake

Client Contact Information

Filing Information

Business Information

Principal Business Address

Mailing Address

Registered Agent

LLC Management Information

Manager or Member 1

Manager or Member 2

Manager or Member 3

Corporation Officer Information

Directors

Authorization

Thank You!

Country/region

Language

Country/region

Language

CA Statement of Information Intake Form

CA - Statement of Information Filing Intake

Client Contact Information

Filing Information

Business Information

Principal Business Address

Mailing Address

Registered Agent

LLC Management Information

Manager or Member 1

Manager or Member 2

Manager or Member 3

Corporation Officer Information

Directors

Authorization

Thank You!

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*10% discount is only applicable for products and services between $35 to $150. There is no 10% discount for services with monthly rates.